How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3.02 Median $4.37 Typical High $8.71 | Facility | None | $3.02 | $4.37 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.17 Typical High $9.55 | Professional | None | $3.02 | $4.17 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $3.02 Typical High $6.46 | Professional | None | $2.24 | $3.02 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.89 Median $6.03 Typical High $15.49 | Facility | None | $3.89 | $6.03 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.41 Median $3.39 Typical High $8.71 | Professional | None | $1.41 | $3.39 | $8.71 |
CareSource Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
CareSource Setting Professional Modifier None Typical Low $2.95 Median $4.47 Typical High $4.47 | Professional | None | $2.95 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $10.00 Typical High $24.55 | Facility | None | $4.47 | $10.00 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $3.31 Typical High $6.76 | Professional | None | $2.75 | $3.31 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.01 Median $6.76 Typical High $16.60 | Professional | None | $5.01 | $6.76 | $16.60 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.31 Typical High $9.55 | Professional | None | $2.04 | $3.31 | $9.55 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.91 Typical High $2.19 | Professional | 52 · Reduced service | $1.51 | $1.91 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.76 Typical High $0.87 | Professional | 53 · Discontinued | $0.60 | $0.76 | $0.87 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $2.04 Median $2.04 Typical High $4.47 | Professional | QW · Waived lab test | $2.04 | $2.04 | $4.47 |
Where Georgia sits
The same service costs 15.8 times more in Vermont than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 44th of 51
$3.89
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.